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{
"id" : "clin_m_hcy",
"algorithm" : "tnm",
"version" : "1.6",
"name" : "Clin M Merkel Cell Vulva",
"title" : "Clinical M",
"last_modified" : "2018-02-02T14:54:20.740Z",
"definition" : [ {
"key" : "clin_m",
"name" : "Clinical M",
"type" : "INPUT"
}, {
"key" : "clin_m_display",
"name" : "Clinical M Display",
"type" : "DESCRIPTION"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
}, {
"key" : "notes",
"name" : "Registrar Notes",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "c0", "cM0", "No distant metastasis", "Unknown; distant metastasis not stated\nDistant metastasis cannot be assessed\nNot documented in patient record" ], [ "c1", "cM1", "Distant metastasis", "CLINICAL assessment only:\nNote: M1 has subcategories of M1a, M1b and M1c. Assign M1 only when there is no information available to assign one of the subcategories\n\nDistant metastasis, NOS\n\nStated as M1 [NOS]" ], [ "c1A", "cM1a", "Skin, subcutaneous tissues or non-regional lymph node(s)", "CLINICAL assessment only:\nMetastasis to skin or subcutaneous tissue\n\nDistant lymph node(s) including common iliac\n\nDistant lymph nodes, NOS\n\nStated as M1a" ], [ "c1B", "cM1b", "Lung", "CLINICAL assessment only:\nLung\n\nMetastasis to lung plus distant lymph node(s) or skin or subcutaneous tissue\n\nStated as M1b" ], [ "c1C", "cM1c", "Other site (s)", "CLINICAL assessment only:\nDistant metastasis to all other visceral sites EXCEPT distant lymph node(s), skin, subcutaneous tissue, or lung \n\nMetastasis to other visceral sites plus distant lymph node(s), skin, subcutaneous tissues, or lungs\n\nCarcinomatosis\n\nStated as M1c" ], [ "p1", "pM1", "Distant metastasis", "HISTOLOGICALLY confirmed:\nNote: M1 has subcategories of M1a, M1b and M1c. Assign M1 only when there is no information available to assign one of the subcategories\n\nDistant metastasis, NOS" ], [ "p1A", "pM1a", "Skin, subcutaneous tissues or non-regional lymph node(s)", "HISTOLOGICALLY confirmed:\nMetastasis to skin or subcutaneous tissue\n\nDistant lymph node(s) including common iliac\n\nDistant lymph nodes, NOS" ], [ "p1B", "pM1b", "Lung", "HISTOLOGICALLY confirmed:\nLung\n\nMetastasis to lung plus distant lymph node(s) or skin or subcutaneous tissue" ], [ "p1C", "pM1c", "Other site (s)", "HISTOLOGICALLY confirmed:\nDistant metastasis to all other visceral sites EXCEPT distant lymph node(s), skin, subcutaneous tissue, or lung \n\nMetastasis to other visceral sites plus distant lymph node(s), skin, subcutaneous tissues, or lungs\n\nCarcinomatosis" ], [ "88", "88", "Not applicable", "Death certificate only (DCO) case" ], [ "", "BLANK", "See Registrar Notes", "Clinical classification criteria not met \nClinical classification criteria met, evaluation done:\n No information about diagnostic workup\n Results not documented in patient record\nClinical evaluation of T and N not done, no evidence metastatic disease\nTumor first detected on surgical resection (no clinical workup)\nOnly Clinical Stage Group documented (no T, N, or M information available)" ] ]
}
